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Individual

GEORGALENE DUBOIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
270 BAPTIST RD, FORT TOTTEN, ND 58335
(701) 381-0725
Mailing address
PO BOX 524, FORT TOTTEN, ND 58335-0524
(701) 381-0725

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
568946544
BCBS
01
5874
HEALTH PARTNERS
Enumeration date
10/25/2021
Last updated
10/25/2021
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